MS-2011-00494_0001.tif i
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191- P,,a„e
(402) 426-4195 FAX
MS- 2011 -00494
a10 m�Se o a � w.eiserr,en ka.org
11/07/2011 MISC Residential November7, 2011
LOCATIONOFIMPROVEMENT: 1650 Park St, Blair, NE 68008
ARCHITECT: GENERAL Elite Exteriors
OW CONTRACTOR:
OWNER: James R And Elizabeth Bolton 201 Oakcreek Dr
1650 Park St Lincoln, NE 68528
I ; BLAIR, NE 68008 -1629
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NATURE OF WORK PROPOSED USE
Siding Primary Siding
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PROJECT NAME PERMIT EXPIRES 11/0612013
16 50 P a rkS t- 111107-Siding
ESTIMATED COMPLETION DATE 2011 -12 -01
DESCRIPTION OF WORK
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Replacing siding on house with brand new vinyl siding.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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1. No work will be started before a permit is ISSUED AND POSTED.
2. For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Office for review.
3. Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic system.
4. The undersigned owner or agent understands and acknowledges this building permit application does not constitute issuance of
this building permit. It is further understood that construction covered by this permit application shall not be commenced until a
copy of a permit signed by the Building Inspector is issued.
5. The undersigned owner or agent agrees to perform the proposed work in accordance with the specifications set forth above and
in accordance with the codes /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or without the intention of the undersigned or any alteration or change from this application without approval of the
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
ap li(:.ption. ,
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Signat re of Applicant Date